Individual provider Active NPI

Laura Marie Wheeler, PCC, MFT

  • Professional Counselor
  • Wakeman, OH
National Provider Identifier
1295034247
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900021 Issued in OH
Practice address
59 E Main St
Wakeman, OH 44889
Phone
(440) 839-2200
Fax
(888) 408-7306
NPI assigned
Mar 16, 2011
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.0900029 OH
Professional Counselor 101YP2500X E.0900021 OH Primary

Addresses

Primary practice location

59 E Main St
Wakeman, OH 44889

Mailing address

59 E Main St
Wakeman, OH 44889-9299
Phone (440) 839-2200

Other practice location 1

292 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 663-3737 ext. 3132

Other practice location 2

292 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 663-3737 ext. 3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.0900021OHMDProfessional Counselor
M.0900029OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ccfi Counseling, LLC Marriage & Family Therapist Past Accepting new patients
Couples, Children, Family, and Individual Counseling, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1295034247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E MAIN ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899299",
            "telephone_number": "440-839-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MAIN ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "44889",
            "telephone_number": "440-839-2200",
            "fax_number": "888-408-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Benedict Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "OH",
            "postal_code": "448572374",
            "country_code": "US",
            "telephone_number": "419-663-3737 x3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 Benedict Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "OH",
            "postal_code": "448572374",
            "country_code": "US",
            "telephone_number": "419-663-3737 x3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "PCC, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.0900029",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.